38720 Federal Register / Vol. 86, No. 138 / Thursday, July 22, 2021 / Notices 

22This situation could change based on an 

increased influx of UC, changes in COVID–19 

infection dynamics among UC, or unforeseen 

reductions in housing capacity. 23See 86 FR 9942. 24 42 U.S.C. 268; 42 CFR 71.40(d). 

1Title XXXIII of the PHS Act is codified at 42 

U.S.C. 300mm to 300mm–61. Those portions of the 

James Zadroga 9/11 Health and Compensation Act 

of 2010 found in Titles II and III of Public Law 111– 

347 do not pertain to the WTC Health Program and 

are codified elsewhere. 

2The List of WTC-Related Health Conditions is 

established in 42 U.S.C. 300mm–22(a)(3)–(4) and 

300mm–32(b); additional conditions may be added 

through rulemaking and the complete list is 

provided in WTC Health Program regulations at 42 

CFR 88.15. 

3 42 U.S.C. 300mm–51(a). 

cases requiring intensive care). These 

numbers indicate that the risk of 

overburdening the local healthcare 

systems by UC presenting with severe 

COVID–19 disease remains low. Based 

on the robust network of ORR care 

facilities and the testing and medical 

care available therein, as well as 

COVID–19 mitigation protocols 

including vaccination for personnel and 

eligible UC, there is very low likelihood 

that processing UC in accordance with 

existing Title 8 procedures will result in 

undue strain on the U.S. healthcare 

system or healthcare resources. 

Moreover, UC released to a vetted 

sponsor or placed in a permanent ORR 

shelter do not pose a significant level of 

risk for COVID–19 spread into the 

community because they are released 

after having undergone testing, 

quarantine and/or isolation, and 

vaccination when possible, and their 

sponsors are provided with appropriate 

medical and public health direction. 

CDC thus finds that, at this time,22

there is appropriate infrastructure in 

place to protect the children, caregivers, 

and local communities from elevated 

risk of COVID–19 transmission as a 

result of the introduction of UC, and 

U.S. healthcare resources are not 

significantly impacted by providing UC 

necessary care. CDC believes the 

COVID–19-related public health 

concerns associated with UC 

introduction can be adequately 

addressed without UC being subject to 

the October Order, thereby permitting 

the government to better address the 

humanitarian challenges for these 

children. Based on the foregoing, CDC is 

fully excepting UC from the October 

Order,23 and the February Notice is 

hereby superseded. This Order shall be 

immediately effective. I consulted with 

DHS and other federal departments as 

needed before I issued this Order and 

requested that DHS continue to aid in 

the enforcement of this Order because 

CDC does not have the capability, 

resources, or personnel needed to do 

so.24

This Order is not a rule subject to 

notice and comment under the 

Administrative Procedure Act (APA). 

Even if it were, notice and comment and 

a delay in effective date are not required 

because there is good cause to dispense 

with prior public notice and the 

opportunity to comment on this Order 

and a delayed effective date. Given the 

public health emergency caused by 

COVID–19 and the highly unpredictable 

nature of its transmission and spread, it 

would be impracticable and contrary to 

public health practices and the public 

interest to delay the issuing and 

effective date of this Order with respect 

to UC. In addition, because this Order 

concerns the ongoing discussions with 

Canada and Mexico on how best to 

control COVID–19 transmission over 

our shared borders, it directly 

‘‘involve[s] . . . a . . . foreign affairs 

function of the United States.’’ 5 U.S.C. 

553(a)(1). Notice and comment and a 

delay in effective date would not be 

required for that reason as well. 

Authority 

The authority for this Order is 

Sections 362 and 365 of the Public 

Health Service Act (42 U.S.C. 265, 268) 

and 42 CFR 71.40. 

Dated: July 19,2021. 

Sherri Berger, 

Chief of Staff, Centers for Disease Control 

and Prevention. 

[FR Doc. 2021–15699 Filed 7–20–21; 4:15 pm] 

BILLING CODE 4163–18–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Disease Control and 

Prevention 

[Docket No. CDC–2021–0071; NIOSH–341] 

World Trade Center Health Program; 

Request for Information 

AGENCY: Centers for Disease Control and 

Prevention, HHS. 

ACTION: Request for information. 

SUMMARY: The National Institute for 

Occupational Safety and Health 

(NIOSH), within the Centers for Disease 

Control and Prevention (CDC), is 

soliciting public comment on the scope 

of an upcoming funding announcement 

for FY2022 regarding the World Trade 

Center (WTC) Health Program’s research 

priorities involving WTC survivors. The 

WTC Health Program’s research 

program helps answer critical questions 

about potential 9/11-related physical 

and mental health conditions as well as 

diagnosing and treating health 

conditions on the List of WTC-Related 

Health Conditions. 

DATES: Comments must be received by 

August 23, 2021. 

ADDRESSES: Comments may be 

submitted through either of the 

following two methods: 

• Federal eRulemaking Portal: http:// 

www.regulations.gov (follow the 

instructions for submitting comments), 

or 

• By Mail: NIOSH Docket Office, 

Robert A. Taft Laboratories, MS C–34, 

1090 Tusculum Avenue, Cincinnati, 

Ohio 45226–1998. 

Instructions: All written submissions 

received in response to this notice must 

include the agency name (Centers for 

Disease Control and Prevention, HHS) 

and docket number (CDC–2021–0071; 

NIOSH–341) for this action. All relevant 

comments, including any personal 

information provided, will be posted 

without change to http:// 

www.regulations.gov. 

FOR FURTHER INFORMATION CONTACT: 

Rachel Weiss, Program Analyst, 1090 

Tusculum Avenue, MS: C–48, 

Cincinnati, OH 45226; telephone (855) 

818–1629 (this is a toll-free number); 

email NIOSHregs@cdc.gov. 

SUPPLEMENTARY INFORMATION: Title I of 

the James Zadroga 9/11 Health and 

Compensation Act of 2010 (Pub. L. 111– 

347, as amended by Pub. L. 114–113 

and Pub. L. 116–59), added Title XXXIII 

to the Public Health Service (PHS) Act,1

establishing the WTC Health Program 

within the Department of Health and 

Human Services (HHS). The WTC 

Health Program provides medical 

monitoring and treatment benefits for 

health conditions on the List of WTCRelated Health Conditions (List) 2 to 

eligible firefighters and related 

personnel, law enforcement officers, 

and rescue, recovery, and cleanup 

workers who responded to the 

September 11, 2001, terrorist attacks in 

New York City, at the Pentagon, and in 

Shanksville, Pennsylvania (responders). 

The Program also provides benefits to 

eligible persons who were present in the 

dust or dust cloud on September 11, 

2001, or who worked, resided, or 

attended school, childcare, or adult 

daycare in the New York City disaster 

area (survivors). 

The Zadroga Act also requires that the 

Program establish a research program on 

health conditions resulting from the 

September 11, 2001, terrorist attacks, 

addressing the following topics: 3

• Physical and mental health 

conditions that may be related to the 

September 11, 2001, terrorist attacks; 


lotter on DSK11XQN23PROD with NOTICES1
Federal Register / Vol. 86, No. 138 / Thursday, July 22, 2021 / Notices 38721 

• Diagnosing WTC-related health 

conditions for which there have been 

diagnostic uncertainty; and 

• Treating WTC-related health 

conditions for which there have been 

treatment uncertainty. 

Request for Information 

The WTC Health Program conducts 

research among members receiving 

monitoring or treatment in the Program 

and in sampled populations outside the 

New York City disaster area in 

Manhattan as far north as 14th Street 

and in Brooklyn. WTC survivors include 

individuals who lived, worked, went to 

school, or attended child or adult day 

care in the NYC Disaster Area on 

September 11, 2001, or in the following 

days, weeks, or months and those 

otherwise meeting the eligibility criteria 

in 42 CFR 88.8. NIOSH is soliciting 

public comments from any interested 

party regarding research priorities for 

WTC Health Program FY2022 research 

projects on WTC survivors (adults and 

children) and similar survivor 

populations south of 14th street in 

Manhattan and in Brooklyn. 

Specifically, NIOSH seeks input on the 

following questions: 

(1) What are the most important 

research gaps that need to be addressed 

within the scope of the research 

solicitation? (For NIOSH-funded 

research projects related to the 

September 11, 2001 terrorist attacks and 

areas of interest based on the Program’s 

Research Agenda, please visit the WTC 

Health Program Research Gateway.) 

(2) What are the most important areas 

of diagnostic and treatment uncertainty 

that could most benefit from 

intervention research (information that 

bridges the gap between science and 

practice, care, or treatment by 

addressing the barriers, challenges, and 

needs to advance implementation of 

new or improved treatment, care, or 

practices)? 

(3) What are the primary research 

needs of WTC survivors (adults and/or 

children) and similar survivor 

populations south of 14th street in 

Manhattan and in Brooklyn? 

John J. Howard, 

Administrator, World Trade Center Health 

Program and Director, National Institute for 

Occupational Safety and Health, Centers for 

Disease Control and Prevention, Department 

of Health and Human Services. 

[FR Doc. 2021–15611 Filed 7–21–21; 8:45 am] 

BILLING CODE 4163–18–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Administration for Children and 

Families 

Submission for OMB Review; Early 

Head Start–Child Care Partnerships 

Sustainability Study (OMB #0970–0471) 

AGENCY: Office of Planning, Research, 

and Evaluation, Administration for 

Children and Families, HHS. 

ACTION: Request for public comment. 

SUMMARY: The Administration for 

Children and Families (ACF) at the U.S. 

Department of Health and Human 

Services (HHS) seeks approval to collect 

information for the Early Head Start– 

Child Care Partnerships Sustainability 

Study. 

DATES: Comments due within 30 days of 

publication. OMB must make a decision 

about the collection of information 

between 30 and 60 days after 

publication of this document in the 

Federal Register. Therefore, a comment 

is best assured of having its full effect 

if OMB receives it within 30 days of 

publication. 

ADDRESSES: Written comments and 

recommendations for the proposed 

information collection should be sent 

within 30 days of publication of this 

notice to www.reginfo.gov/public/do/ 

PRAMain. Find this particular 

information collection by selecting 

‘‘Currently under 30-day Review—Open 

for Public Comments’’ or by using the 

search function. 

SUPPLEMENTARY INFORMATION: 

Description: This information 

collection is to provide nationally 

descriptive, longitudinal data on 

partnerships between Early Head Start 

programs and child care providers to 

inform program planning, technical 

assistance, and research. The proposed 

data collection is a follow-up study of 

the 2015 (National Descriptive Study 

(NDS) of Early Head Start–Child Care 

Partnerships (OMB 0970–0471) that 

obtained information about the EHS 

programs, community-based child care 

centers, and family child care providers 

participating in the federal grants 

supporting the implementation of Early 

Head Start–child care partnerships 

(EHS–CCPs). The current information 

collection request will follow up with 

EHS programs and child care providers 

who participated in the NDS to 

understand whether and how 

partnerships have been sustained or 

have dissolved, and which features of 

partnerships support or impede 

sustainability. Data collection activities 

will include surveys of directors of 2015 

EHS–CCP grantees and of child care 

provider directors/managers who were 

selected for participation in the NDS, as 

well as semi-structured interviews with 

a purposive sample of providers whose 

partnerships have dissolved and have 

been sustained since 2016. 

Respondents: Early Head Start 

program directors and child care 

providers. 

ANNUAL BURDEN ESTIMATES

Instrument 

Number of 

respondents 

(total over 

request 

period) 

Number of 

responses per 

respondent 

(total over 

request 

period) 

Average 

burden per 

response 

(in hours) 

Total burden 

(in hours) 

Annual burden 

(in hours) 

EHS Program Director Survey ............................................. 335 1 .58 194 65 

Provider Survey (Sustained Partnership Provider Survey 

and Dissolved Partnership Provider Survey) ................... 470 1 .50 235 78 

Dissolved Partnership Provider Semi-structured Interview 

Protocol ............................................................................ 48 1 .83 40 13 

Sustained Partnership Provider Semi-structured Interview 

Protocol ............................................................................ 24 1 .83 20 6 

Estimated Total Annual Burden 

Hours: 162. 

Authority: Sec 645A and 649 of the 

Improving Head Start for School 

Readiness Act of 2007 and the 


lotter on DSK11XQN23PROD with NOTICES1